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Anatomic Considerations in the Management of the Hanging Columella
Arch Facial Plast Surg. 2000;2:178-179.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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THE article by Joseph and Glasgold1 reviews a not uncommon, but not always managed, anatomic problem in cosmetic rhinoplasty. As such it bears interest for both the younger rhinoplasty surgeon and the experienced surgeon seeking new concepts in the management of nasal deformity. The central thesis of their article is that the primary cause of the hanging columella is a congenital C-shaped curvature of the medial crura. The study of 10 patients is not large, but is well presented anatomically, intraoperatively, and photographically.
Our experience is also that the primary etiology of this deformity is congenital, and we emphasize, as the authors have mentioned, that it is frequently associated with a long nasal septum. In such cases, which are more common in those with Mediterranean and Middle Eastern heritage, it is essential to shorten the septum as well as to address the medial crura deformity if an ideal result is . . . [Full Text of this Article]
RELATED ARTICLE
Anatomical Considerations in the Management of the Hanging Columella
Eric M. Joseph and Alvin I. Glasgold
Arch Facial Plast Surg. 2000;2(3):173-177.
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